Private client feedback for therapy and mental health practices, with a signed BAA
For most practices the point is hearing from clients in private: how appointments feel, what gets in the way, whether booking works. Spokk sends a short, neutral request, keeps answers in a private dashboard under a signed Business Associate Agreement, and leaves Google review invitations up to you.
- Signed BAA
- Set up with you on a call
- 60-day money-back guarantee
Feedback request, after the appointment
Hi Sam, thanks for your appointment today. We would value your thoughts. It takes a minute and only our team sees your answers: spokk.io/f/k2Rm7a Reply STOP to opt out
One reminder if there is no answer
Hi Sam, a gentle reminder in case you would like to share your thoughts: spokk.io/f/k2Rm7a Reply STOP to opt out
Why it matters
What feedback and reviews do for therapy and mental health practices
Feedback first, reviews optional
Many practices use Spokk for private feedback only and leave review invitations off. APA's Ethics Code (5.05) says psychologists do not solicit testimonials from current therapy clients, so check how your own professional code treats review requests.
APA Ethical Principles of Psychologists and Code of Conduct, 5.05
Neutral messages protect privacy
A text that mentions therapy tells anyone who sees the phone more than the client may want. Keep the wording to "your appointment". You write it, and we go through it with you at setup.
Hear it before a client stops coming
Clients who stop booking rarely say why. A short, private question after early appointments gives them an easy way to tell you about booking, the space or the fit.
How it works
What happens after every appointment
- Step 1
After the appointment
The appointment goes into Spokk
Front desk adds the client, or your practice system sends name, contact details, visit time, location and therapist. Nothing clinical.
- Step 2
A few hours later
Spokk asks how it went
A short, neutral text or email. One reminder if there is no answer, and nothing that mentions why they came in.
- Step 3
Only if you choose
Google invitations are optional
Leave review invitations off and Spokk is private feedback only. Switch them on and every client is invited the same way.
- Step 4
When reviews arrive
You reply, safely
Spokk suggests a reply to each new Google review that never confirms someone is a client. You approve every one.
When to ask
Send requests after the first few appointments and then occasionally, rather than after every appointment. You set how long Spokk waits before asking the same client again.
The texts
Neutral messages clients are comfortable receiving
Every message thanks the client for their appointment and links to a short private form. Nothing says why they came in, because texts and emails are not encrypted once they leave our systems.
- Sent between 8am and 9pm in your time zone unless you choose other hours.
- Anyone who replies STOP is never texted again, and clients without a mobile get email.
- Patients under 18 can be skipped automatically.
- You choose how long Spokk waits before asking the same client again.
Feedback request, after the appointment
Hi Sam, thanks for your appointment today. We would value your thoughts. It takes a minute and only our team sees your answers: spokk.io/f/k2Rm7a Reply STOP to opt out
One reminder if there is no answer
Hi Sam, a gentle reminder in case you would like to share your thoughts: spokk.io/f/k2Rm7a Reply STOP to opt out
Google review invitation, only if you switch them on
Thank you, Sam. If you would like to, you can share your experience of Harbor Counseling on Google: spokk.io/f/k2Rm7a Reply STOP to opt out
Feedback
Private feedback from every client
A short form by text or email. Answers go to owners and managers straight away, low ratings included, so someone can follow up the same day. Front-desk accounts can send requests without reading what clients wrote.
Questions you could ask
- How easy was it to book your appointment?
- How comfortable did you feel in our space?
- Did you feel listened to?
- Is there anything that would make it easier to keep coming?
- How likely are you to recommend us to someone you care about?
Clients can also rate the therapist who looked after them. You see each rating on the response and in your export.
Harbor Counseling
How was your appointment?
Google reviews
Google reviews, only if they fit your ethics
Review invitations are a setting. If you switch them on, every client is invited the same way, and every reply you post is checked by you first.
Decide whether to ask at all
APA's Ethics Code (5.05) says psychologists do not solicit testimonials from current therapy clients, and other professional codes have their own rules. Many practices keep Spokk to private feedback.
If you ask, ask everyone the same way
Inviting only the clients you expect to be happy is review gating, which Google does not allow.
A few genuine reviews go a long way
In Local Falcon's Q4 2025 study, the median mental health provider in Google's local top three had 20 reviews, far fewer than most other categories.
Replying to a review without confirming a client
Says too much
“Thank you Jamie, it has been a privilege working with you through such a hard year. See you Thursday.”
Safe to post
“Thank you for taking the time to share this. We are grateful for the kind words.”
Spokk suggests a general reply for every new Google review, and nothing posts until you approve it.
Good to know
Things therapy and mental health practices should plan for
State rules can be stricter
Some states protect mental health records beyond HIPAA. The BAA includes state-specific terms where the law requires them, such as for Illinois mental health records.
Contact clients the way they choose
Ask each client how they want to be contacted, and only send to the number or address they choose. Spokk records contact preferences and consent.
Reviews only if they fit your ethics
Review invitations are a setting, not a requirement. Leave them off and Spokk is a private feedback tool.
Never confirm a client in a reply
If a client reviews you, thank them without confirming they are a client, even if they say so themselves. You approve every reply Spokk drafts.
The Healthcare plan
What you get, and what we leave out on purpose
A focused plan your practice manager can explain to the team in five minutes, under a signed Business Associate Agreement.
Private patient feedback
A short form by text or email after each visit. Ratings, comments and clinician ratings land in your private dashboard, and low ratings reach your team straight away.
Google review invitations
Every patient gets the same invitation to review you on Google, whatever their rating, with an AI draft written from what they shared. Patients edit it and post it from their own account.
AI review replies
Spokk drafts replies to your new Google reviews for you to approve. Keep them general: a reply should never confirm that someone is a patient.
Automated texts and emails
Feedback requests and reminders go out on their own after each visit, at the times you choose.
Clinician ratings
Patients can rate the clinician who looked after them on the same form. You see each rating with the patient's feedback and in your export, for every location.
Front-desk accounts
Front-desk staff can send feedback requests without being able to read what patients wrote.
How your patients' information is protected
Separate, US-based hosting
Your account runs in Spokk's dedicated healthcare environment on Amazon Web Services in the United States, kept apart from Spokk's standard service, which never holds patient information.
Encrypted at rest and in transit
AES-256 encryption for the database, stored files, backups and logs, and TLS 1.2 or higher for all traffic over the internet.
Every access is recorded
Each view, change and export of patient feedback is logged: who, which record and when. The log cannot be edited and is kept for six years.
Only the data we need
Name, phone, email, contact preferences and consent, visit date and time, location and clinician. Never diagnoses, clinical notes, medications, insurance details, Social Security numbers or dates of birth from your systems. Patients under 18 can be skipped automatically.
Not on this plan
- Loyalty rewards
- Referral rewards
- Testimonials (video, image and text) and the Wall of Love
These market to patients or put patient stories on public pages, which HIPAA generally allows only with each patient's written authorization.
Our promise
Our promise to your practice
We set Spokk up with you, shape it around your practice, and refund you in full if it is not right.
60days
60-day money-back guarantee
Use Spokk with your real customers. If it is not right for your business, tell us within 60 days of your first payment and we refund what you paid, in full. No forms and no hoops.
- Full refund of what you paid
- Just ask by email or on a call
- No contract on monthly plans
- Cancel any time in settings
We would rather earn your business every month than hold you to a contract. If Spokk is not paying for itself, you should not be paying for Spokk.
We shape Spokk around your practice
Tell us how your practice works and we set Spokk up to match: your wording, your questions, your timing. Need a feature it does not have yet, or a connection to a system you already use? If it is within our ability and fits your BAA, we build it for you at no extra cost.
- Your patient texts, forms, questions and timing, set up with you on a call
- Custom features built for you, within your BAA
- Connections to the systems your practice already uses, within your BAA
- A real person who keeps adjusting it until it fits
We are flexible. If something does not fit how your practice works, tell us and we change it, and we keep working with you until you are happy.
Updates and new features are included too, as you would expect.
A short call to check the plan fits. No obligation.
From$249/month
Billed annually (from $2,988 a year). Your price depends on the features you choose and how many clients you see each month.
Custom features and integrations built for you at no extra cost, within your BAA.
Please do not load patient information into the standard free trial.
Getting started
Three steps, all with a person
- 1
Book a 15-minute call
We check the plan fits your practice and quote your price.
- 2
Sign the BAA and order form
Both are short, and both are signed before any patient information is shared.
- 3
Set up together
On a second call we set up how patients reach Spokk, your feedback form and your review invitation, and send your first requests.
FAQ
Questions therapy and mental health practices ask
Is it ethical for therapists to ask clients for Google reviews?
Will clients receive texts that mention therapy?
Does the BAA cover state mental health laws?
Who can read client feedback?
Is Spokk HIPAA compliant?
Will you sign a BAA?
How much does the Healthcare plan cost?
Is there a money-back guarantee on the Healthcare plan?
Can I try it with a free trial first?
Which features are not on the Healthcare plan?
What patient information does Spokk keep?
Do you charge extra for custom features or integrations?
Hear from every client, under a signed BAA
Book a 15-minute call. We check the plan fits your practice, quote your price and set it up with you.
We check the plan fits and quote your price on the call.